宣上畅中渗下法联合西药治疗痰湿质盆腔炎临床观察  

Clinical observation of Xuanshang-changzhong-shenxia therapy combined with western medicine on pelvic inflammatory disease of phlegm-dampness constitution

作　　者：刘青菊 孙素华 杨洪娟[3] 

机构地区：[1]河北省衡水市第二中医医院妇科,河北冀州053200 [2]河北省衡水市第二中医医院内科,河北冀州053200 [3]河北医科大学第一医院肾内一科,河北石家庄050031

出　　处：《河北中医》2017年第11期1667-1671,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2016年度中医药类科研计划课题(编号:2016286)

摘　　要：目的观察宣上畅中渗下法联合西药治疗痰湿质盆腔炎的临床疗效。方法将60例痰湿质盆腔炎患者随机分为2组,对照组30例予常规西药治疗,治疗组30例在对照组治疗基础上加宣上畅中渗下中药治疗。2组均14 d为1个疗程,治疗1个疗程,疗程结束后3个月随访。观察2组治疗前后及随访时肝功能[丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)]、血脂[甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)]、血常规[白细胞计数(WBC)、中性粒细胞(N)]、血糖[空腹血糖(FPG)、餐后2 h血糖(2 hPG)]变化,观察2组治疗前后及随访时痰湿质积分变化,比较2组疗效。结果 2组治疗后、随访时痰湿质积分均较本组治疗前降低(P<0.05),治疗后、随访时治疗组痰湿质积分低于对照组同期(P<0.05)。2组治疗后、随访时ALT、AST、TG、LDL-C、WBC、N、FPG及2 hPG与本组治疗前比较差异均无统计学意义(P>0.05),治疗后、随访时治疗组与对照组ALT、AST、TG、LDL-C、WBC、N、FPG及2 hPG比较差异均无统计学意义(P>0.05)。治疗组总有效率93.33%,对照组总有效率80.00%,2组总有效率比较差异有统计学意义(P<0.05),治疗组疗效优于对照组;治疗组复发率(3.33%)低于对照组(13.30%),治疗组远期疗效优于对照组(P<0.05)。结论宣上畅中渗下法联合常规西药治疗痰湿质盆腔炎,能改善患者中医证候,毒副作用小,复发率低。Objective To observe the clinical effects of Xuanshang-changzhong-shenxia therapy on the treatment of combined with western medicine on pelvic inflammatory disease of phlegm-dampness constitution Methods 60 pelvic inflammatory patients with phlegm-dampness constitution were randomly divided into two groups. 30 cases in the control were treated by routine western medicine,and 30 cases in the treatment group were treated by Xuanshang-changzhong-shenxia therapy on the basis of the control group. The treatment course was 14 d in two groups and 3 months follow-up after one course treatment. The liver function including alanine aminotransferase( ALT) and aspartate aminotransferase( AST),blood lipid including triglyceride( TG) and low-density lipoprotein cholesterol( LDL-C),blood routine including white blood cell count( WBC) and neutrophil( N),blood glucose including fasting plasma glucose( FPG) and 2 h postprandial glucose( 2 hPG) before and after treatment and follow-up were observed in two groups. The scores of phlegm-dampness constitution before and after treatment were observed in two groups. Results The scores of phlegm-dampness constitution after treatment and follow-up were reduced in two groups( P < 0. 05),and which in treatment group was lower than that in control group at the same period( P < 0. 05). There was no statistical difference on the ALT,AST,TG,LDL-C,WBC,N,FPG and 2 hPG among before and after treatment and follow-up in two groups( P > 0. 05). There was no statistical difference on the ALT,AST,TG,LDL-C,WBC,N,FPG and 2 hPG between after treatment and follow-up in two groups( P >0. 05). There were statistical differences on the total effective rate between the treatment group( 93. 33%) and the control group( 80. 00%,P < 0. 05),and the curative effects in treatment group was superior to that in control group. The recurrence rate in the treatment group( 3. 33%)was lower than that in the control group( 13. 30%),and the long-term efficacy in the treatment group was better than that in the control group( P

关 键 词：盆腔炎性疾病 中西医结合疗法 

分 类 号：R711.330.58[医药卫生—妇产科学]